Navigation Links
Physicians experience increased effort, uncertainty in cross-coverage of radiation oncology patients
Date:9/25/2013

CHAPEL HILL, N.C. -- Radiation oncology physicians who encounter an unfamiliar case when cross covering for another physician experience higher levels of perceived workload and may perhaps also effects on performance, according to research conducted at the University of North Carolina.

In a paper presented at the 2013 American Society for Radiation Oncology conference, study authors Prithima Mosaly, PhD, and Lukasz Mazur, PhD, assistant professors in the UNC Department of Radiation Oncology; Bhishamjit Chera, MD, assistant professor of radiation oncology and Lawrence Marks, MD, Sidney K. Simon Distinguished Professor of Oncology Research and Chair, found a significant decrease in performance and confidence when physicians were asked to plan the treatment of an unfamiliar patient.

Eight radiation oncologists participating in the study, three experienced physicians and five resident physicians, attended two sessions where they were tasked with planning the procedure of a patient based on information from an electronic medical record. Researchers measured the subjective and quantitative experiences of the participating physicians during each session.

During the first session, designed to simulate a "cross-coverage" scenario, radiation oncology physicians were presented with the records of an unfamiliar patient undergoing a routine radiological procedure - palliative 2-field opposed lateral brain fields. The second session represented a "regular-coverage" scenario where the radiation oncology physicians were presented with the same case after 48 hours.

After each session, the physicians evaluated their experience using the National Aeronautics and Space Administration-Task Load Index (NASA-TLX). Performance was measured using completion time and willingness to approve the generated plan. Overall, the results during cross-coverage revealed a significant increase in perceived workload as quantified by NASA-TLX score and decrease in performance as quantified by longer completion time and reduced approval rate.

The radiation oncology physicians presented with unfamiliar cases in the first session experienced a relatively-high perceived workload and a reduced level of performance. They took more time to complete the tasks and were more reluctant to approve a treatment plan, when compared to the second session where they were more familiar with the case. The level of professional experience of the radiation oncology physicians did not influence the results.

"We had people not willing to approve treatment when in a cross-coverage scenario, but we had 100 percent treatment approval when they were under regular coverage scenario," said Mosaly.

The team's research builds on insights from industries such as aviation, nuclear power plants and transportation that have relied on similar variety of workload assessments to develop safety standards for decades. With the growing use of information technology systems, Mazur said that it is important to develop workload limits for human-computer interaction in order to optimize patient safety.

"It is important for us to look for these boundaries, so that when we have a system it actually builds on human strengths and understands the limitations," said Mazur.


'/>"/>

Contact: William Davis
william_davis@med.unc.edu
919-966-5906
University of North Carolina Health Care
Source:Eurekalert

Related medicine news :

1. Physicians call for improvements to countrys public health system to protect US residents
2. Awards to 5 IU School of Medicine physicians address critical need for geriatricians
3. Image share project gives patients and physicians anytime, anywhere access to medical images
4. Brief training program improves resident physicians empathy with patients
5. US Army internal medicine Masters, Fellows honored by American College of Physicians
6. Antiretroviral treatment for preventing HIV infection: an evidence review for physicians
7. US Army internal medicine residents receive awards from American College of Physicians
8. Surgeon General receives 2012 Distinguished Public Service Award from internal medicine physicians
9. American Academy of Family Physicians joins AmericanEHR Partners
10. AFARs MSTAR program addresses shortage of geriatric medicine physicians
11. AFTS Labs Partners With Physicians To Complement NY's Mandated I-STOP Tracking System For Pain Pill Prescriptions: A Recipe For A Safer Community
Post Your Comments:
*Name:
*Comment:
*Email:
(Date:3/24/2017)... CA (PRWEB) , ... March 24, 2017 , ... ... Ramin Assili, announce that they are now offering treatments for sleep apnea and ... at dental offices. Sleep apnea , specifically the obstructive type, is increasingly ...
(Date:3/24/2017)... ... March 24, 2017 , ... The law firm of ... is pleased to announce Westchester resident Lauren C. Enea has joined the firm as ... firm, will concentrate her practice in elder law, Medicaid planning and applications, and Wills, ...
(Date:3/24/2017)... ... March 24, 2017 , ... Gastro Health ... to prep patients for colonoscopy at the HyGIeaCare® Center that is to be ... FL. , The HyGIeaCare® Prep, cleared by the U.S. Food and ...
(Date:3/24/2017)... (PRWEB) , ... March 24, 2017 , ... ... the first Certified Medical Reiki™ Master in Frederick, MD. Judy says, “I am ... caregivers during what is often a very difficult and challenging time.” , A ...
(Date:3/24/2017)... , ... March 24, 2017 , ... “End Time GPS”: ... salient events will interrelate. “End Time GPS” is the creation of published author, ... expert while working on military munitions and space-vehicle projects. Now, at age ninety-one, he ...
Breaking Medicine News(10 mins):
(Date:3/24/2017)... DUBLIN , Mar. 24, 2017 Research and ... Size, Share, Development, Growth and Demand Forecast to 2022" report to ... The global ... expected to grow at a CAGR of 6.7% during 2016-2022 ... segment held the largest share in the global market in 2015. Among ...
(Date:3/24/2017)... March 24, 2017 FinancialBuzz.com News Commentary  ... According ... of cannabis market research, the legal cannabis market is projected ... 2021, despite conflicting signals from the current presidential administration. The ... the two biggest drivers of growth in this industry are ...
(Date:3/24/2017)... Global Ampoules Market report provides ... applications and industry chain structure. The Ampoules market analysis ... competitive landscape analysis, and major regions, development status. ... ... providing 10 company profiles and 183 tables and figures ...
Breaking Medicine Technology: